| Grace Counseling & Consulting Llc | |
|
12715 S La Crosse Ave Alsip IL 60803-3072 | |
| (708) 724-9631 | |
| Not Available |
| Full Name | Grace Counseling & Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12715 S La Crosse Ave, Alsip, Illinois |
| Authorized Official Name and Position | Jasmine Banner Hubbard (OWNER &CLINICIAN) |
| Authorized Official Contact | 7087249631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling & Consulting Llc 12715 S La Crosse Ave Apt 202 Alsip IL 60803-3051 Ph: (708) 724-9631 | Grace Counseling & Consulting Llc 12715 S La Crosse Ave Alsip IL 60803-3072 Ph: (708) 724-9631 |
| NPI Number | 1356946065 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356946065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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